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Hello and thank you for your question. It really depends on exactly what you need done, but ear cartilage does not work well, and I never use it as it lacks structural stability. If you don’t have septal cartilage available for grafting then I always use MTF Cartilage for revisions. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
It appears that your nose has been shortened and the tip is poorly defined with a very thick soft tissue envelope that is continuing to lose projection/definition. I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon with experience in rhinoplasty. You may need...
Hello and thank you for your question. Based on your photographs, you have instability and collapse of the dorsal aesthetic lines. Do not use a Goretex implant. That will cause numerous complications in your nose. Instead, you should have MTF Cartilage to rebuild the dorsal aesthetic lines with...
Hello and thank you for your question. Based on your photograph, you may benefit from tip elevation with stabilizing tip support to help prevent tip droop with smiling. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified...
Hello and thank you for your question. Based on your photographs, you may benefit from a a Revision with a nasal tip deprojection to shorten the entire tip complex. A mastoid fascia tip graft can be placed at the same time to prevent asymmetry and camouflage the tip. With good surgical...
Hello and thank you for your question. Based on your photographs, you may benefit from revision to derotate your tip with extended spreader grafts. Even in thick skin patients, this is possible. With good surgical technique, you could have an outstanding result. I recommend that you seek...
Hello and thank you for your question. Photographs would be very helpful here. The overall feeling may improve with time as the swelling continues to decrease. However, the sense of overprotection and tip asymmetry will likely not improve and may even worsen with time. You may want to consider...